To expedite your visit, we encourage you to complete the corresponding forms below.

This information will help guide us to focus on your areas of concern as well as providing us with insights into the functioning of various organs, muscles, glands, nerves and more. The combination of information you provide and the information provided by the imaging offers a powerful look for assessing your health.

At the time of your appointment we will review the information to assure we understand and address the areas of concern. Choose the most applicable Questionnaire to complete along with the forms from one column below.

Notice of PrivacyThis form is required and must be completed by each patient prior to imaging.

Central Region QuestionnaireIncludes: head, neck, breasts, chest, heart and lungs, abdomen and lower back and can show the following concerns: TMJ, sinus, dental, thyroid patterns,Muscular-Skeletal, early detection of cardiovascular disease, arthritis, Fybromyalgia or trauma such as strains, sprains or chronic pain, Chronic regional pain syndrome, nerve irritation that can cause referred pain in other areas and circulatory deficits.